Patient: Half a month ago, the patient had a fall and was in pain and could not move. He was sent to the hospital and diagnosed with a compression fracture of the spine due to severe osteoporosis. For the past half month, he has been treated with calcium infusion, belly injection, pain relief, and anti-inflammatory treatment in the hospital. Now there is no pain at all. But I just can’t sit up. I have the following questions: Shao Shuilin, Department of Orthopaedics, Beijing 306 Hospital 1.It has been half a month, the patient is pain-free, do we still need to do kyphoplasty 2.Is the patient’s current spinal compression serious 3.If we don’t do kyphoplasty, will the patient have hunchback symptoms after several years 4.Does kyphoplasty have other effects besides eliminating pain, allowing the patient to sit up quickly and walk? 5.After the operation, are there any other after-effects? 6.If the operation is not done, will the effect be the same as the operation after three months of bed rest at home? 7.If the operation is not done, will it affect the patient’s bending, climbing, lifting heavy objects, etc. in the future? Bone collapse? Can the compressed bones grow back later? 9.The patient is only 54 years old, is it a bit young to have this surgery? Thank you, Shao Shuilin, Department of Orthopedics, Beijing 306 Hospital: Balloon expansion and vertebral body retroconvex molding is the latest method created mainly for osteoporotic compression fractures in the elderly, the advantages of which are 1, minimally invasive technology, a small balloon to support the spine, to restore the height of the compressed vertebral body to the maximum extent, to achieve the effect of fracture repositioning; 2, fast; 3, safe. Because it avoids opening a large knife, so that most of the elderly people whose physical conditions are poor can bear it, the patient’s pain symptoms disappear or are significantly relieved soon after the operation, and soon they can fully move to the ground, which restores the patient’s previous life in time. The surgery is simple and can be completed in about half an hour under local anesthesia. As long as the operation is performed skillfully and the indications are well mastered, few complications generally occur. Due to osteoporosis in the elderly, compression fractures of the spine are difficult to heal for a long time, and in some cases they do not heal for several years, and even if they do heal, they are further compressed, resulting in posterior spinal deformity (hunchback), which affects both the appearance and can produce long-term low back soft tissue pain, and because of the posterior spinal deformity, it changes the normal spinal stress distribution and increases the risk of fractures in other vertebrae. In the past, the absence of this technology makes the fractured elderly people can only be bedridden for a long time, which is not only unable to reset the fractured vertebrae, but also can cause many complications, especially the high incidence of deep vein thrombosis and pulmonary embolism in the limbs, which often endangers the life of the elderly. 1, has been half a month, the patient has no pain, but also whether the need to do vertebral body kyphoplasty is best to consider this surgical treatment, because still can not bear weight and the possibility of further compression. In addition, prolonged bed rest is not able to reset the fracture, but also prone to other complications, and we do not know when the fracture will heal? Long-term bed rest will further aggravate the osteoporosis. 2. Is the patient’s current spinal compression serious? Currently, it is moderate. 3. 4.Does kyphoplasty have other effects besides eliminating pain and allowing the patient to sit up and walk quickly (such as preventing hunchback, how effective is it?)? The effect is obvious. 5.After vertebroplasty, are there any other sequelae? Generally, there are no other sequelae because the bone cement filled in the vertebral body is inert and stable. 6.If no surgery is done. If the surgery is not done, will the effect be the same as that of the surgery after three months of bed rest at home? That requires patience and seriously affects the quality of life, and the long-term effect is generally worse than that of the surgery in general. of bones collapse 9.Can the compressed bones grow back later? The compressed bone will not grow back. The patient is only 54 years old, is it a bit young to have this surgery? As long as it is due to osteoporosis, it does not matter the age. Since it is a minimally invasive surgery, it is better for young patients. You can come to my office to see the cases that have been done